Komen Detroit Race for the Cure® Volunteer Information Form

Volunteer Profile

Susan G. Komen for the Cure is about people - people who are committed to making a difference, people who are dedicated to ending breast cancer forever.

Thank you for your interest in volunteering your time and expertise with the Komen Detroit Race for the Cure®, locally presented by the Barbara Ann Karmanos Cancer Institute. Please complete the contact information below, and a Komen Detroit Race for the Cure® representative will contact you about upcoming volunteer opportunities.

First Name:*

Last Name:*

Address:*

City:*

State:*

Zip Code:*

Home Phone:*	Work Phone:
Cell Phone:	E-mail Address:

Are you a survivor:*

Availability:*

Computer Skills:*
(If yes please explain)

Special Skills:

Volunteer Limitations:*

Have you previously volunteered with the Komen Detroit Race for the Cure®?
(If so, please explain):

* Required Fields